| NPI | 1679343347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CT 9638) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VT 068.0137247TELE) |
| 101YM0800X Counselor, Mental Health (Licence: FL TPMC7964) | |
| 101YM0800X Counselor, Mental Health (Licence: ME CC8801) | |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2026-06-23 |